GS1: Conference Welcome
Presenter: Dan Schwebach, Chief Business Development Officer & Raemarie Jimenez, Chief Product Officer.
AAPC will kick off the conference with his welcome message. They plan to introduce exciting new and upcoming developments within AAPC and the industry and to relate how these changes will impact your daily life.
Breakout session 1
1A: Generative AI and NLP in Medical Coding
Presenter: Balaji Sundararajan | Guru Raja
Description: Medical billing is a complex and tedious process that involves coding, filing, verifying, and collecting claims for healthcare services. Medical billing errors can result in revenue loss, compliance issues, and customer dissatisfaction. To improve the quality and efficiency of medical billing, many healthcare organizations are adopting generative AI and NLP technologies. Generative AI and NLP are branches of artificial intelligence that can create new data from existing data, such as text, speech, images, video, and code.
1B: Value Based Healthcare & Bundled Payments
Presenter: Dr. Sara Al Dallal
Description: Bundled Payments are a key component of VBHC, where a single payment is made for all services related to a specific treatment or condition over a defined period. This approach encourages providers to coordinate care more effectively, as they share the financial risk associated with the treatment. By receiving a fixed payment for a bundle of services, providers are incentivized to deliver high-quality care efficiently, reducing unnecessary tests and procedures, ultimately leading to better patient outcomes and lower overall healthcare costs.
EH1 – Break
Breakout session 2
2A: ICD-10-CM 2025 Updates - What Healthcare professionals need to observe?
Presenter: Hemamalini Alex
Description: We will look into the summary of the updated changes of 2025 ICD-10-CM updates. CMS announced the updates for diagnosis coding will happen during April and October every year. These codes are to be used for date of discharges from October 1, 2024 to September 30, 2025. There are close to 252 new codes, 36 code deletions and 13 code revisions. We will discuss in brief about the updates of the codes and the guidelines.
2B: AI - coding and CDI
Presenter: Michelle Broberg
Description: Artificial intelligence in healthcare, is changing the landscape of healthcare. However, this evolution needs to be understood by all so that the buzzwords are not just words but identification of that technology to ensure that we enable a better, safer, smarter environment for coding of the future.
EH2 – Break
Breakout session 3
3A: Denial Management - Impact and Role of Al in Denials
Presenter: Adi Laxmi, CPC, CPC-I, CIC, CRC, CPMA, CCS, AM
Description:
• Understand denial and its root cause
• Strategize action to fix current denial and provide insights to avoid recurrence in the future.
CDI and its role in avoiding denials - contribution of coder for CDI
• Change Health outage and its impact on billing
• BCP and Proactive approach to be followed due to technology partner outage.
• Recovery plan and timelines to achieve a stable state
• Al and its capabilities in different specialties
3B: Hospital - Acquired conditions
Presenter: Dr. Farheen Mashhood Kirmani, MBBS, CCSP, CPC, CPC-P, CPMA, CDEO, CAIMC, CMR
Description: The presentation comprises of understanding HAC, POA indicators, Ensuring accurate coding for HAC-related services, Health systems are struggling with interoperability, and the associated challenges due to HAC have effects throughout the enterprise and how to improve with better training, clinical documentation, following the correct billing rules. Managing HAC Claims in Recovery Audits.
EH3 – Lunch Break
Breakout session 4
4A: E&M Coding tips and complexity of G2211
Presenter: S ShivaKumar, BPT, DPF, CPC, COC, CEMC, CCS-P
Description: Nuances of Visit complexity add-on code G2211 - To enlighten the mysteries behind the coding CPT G2211 and tips to increase the revenue for the provider.
EM Coding tips to boost Physician revenue - Greater emphasis is being placed on time-based coding to enhance provider documentation, which will ease coding accuracy and increase provider income.
4B: Clinicians role in documentation and coding, requirements for IP and OP
Presenter: Dr. Ramya Vincent, PhD, CPC, CBCS
Description: The content of the presentation will include the following:
1. What is a good documentation per coder/biller perspective with samples
2. What are mandatory requirements to be documented by physicians for OP and IP claims
3. Most common documentation errors by Physicians
4. Tools available to help doctor documentation
5. Revenue augmentation or leakage due to documentation
EH4 – Break
Breakout session 5
5A: Home Health Care Coding Overview
Presenter: Sreenivas Reddy, CPC, BCHH-C
Description:
1. Definition of home health care.
2. Two main coding systems used in home health coding.
3. Describe the purpose and function of the Outcome and Assessment Information Set (OASIS).
4. Identify the different home health coding levels and their significance.
5. The basic principles of the Patient-Driven Groupings Model (PDGM) and its impact on coding.
5B: Code set in GCC region
Presenter: Ali Hadi
Description: Yet to Come/Stay Tuned
EH4 – Break
Breakout session 6
A: Risk Adjustment - HCC+ CDI
Presenter: TBD
Description: Yet to Come/Stay Tuned
6B: Auditing Payers
Presenter: Pommani Ebenezer, CPC, CPMA
Description: The presentation will include, the aims or objectives of auditing a provider. Audit Scope and Criteria, Data Collection Process, Coding Accuracy Assessment, Compliance Check, Issues Identified with RCA action plan and recommendations, Documentation and Reporting, Feedback sessions, Follow-Up and Monitoring, and conclusion.
GS2: Local Chapter Pannel | Q&A Session with Give Aways
Presenter: Local Chapter Team
Raemarie Jimenez Chief Product Officer - AAPC
Dan Schwebach Chief Business Development Officer – AAPC
Ali Hadi, Sr. Director – Education & Training - AAPC
Brian Van Norman - Executive Director - AAPC